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印度日益严重的中风危机:一项系统综述。

Mounting Stroke Crisis in India: A Systematic Review.

作者信息

Hedau Vedant N, Patil Tushar

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Neurology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Mar 27;16(3):e57058. doi: 10.7759/cureus.57058. eCollection 2024 Mar.

Abstract

Stroke, a neurological disorder, has emerged as a formidable health challenge in India, with its incidence on the rise. Increased risk factors, which also correlate with economic prosperity, are linked to this rise, including hypertension, diabetes, obesity, sedentary lifestyle, and alcohol intake. Particularly worrisome is the impact on young adults, a pivotal segment of India's workforce. Stroke encompasses various clinical subtypes and cerebrovascular disorders (CVDs), contributing to its multifaceted nature. Globally, stroke's escalating burden is concerning, affecting developing nations. To combat this trend effectively and advance prevention and treatment strategies, comprehensive and robust data on stroke prevalence and impact are urgently required. In India, these encompass individuals with elevated BMIs, and those afflicted by hypertension, diabetes, or a familial history of stroke. Disparities in stroke incidence and prevalence manifest across India, with differences in urban and rural settings, gender-based variations, and regional disparities. Early detection, dietary changes, effective risk factor management, and equitable access to stroke care are required to address this issue. Government initiatives, like the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS) 2019, provide guidelines, but effective implementation and awareness campaigns are vital. Overcoming barriers to stroke care, especially in rural areas, calls for improved infrastructure, awareness campaigns, and support systems. Data standardization and comprehensive population studies are pivotal for informed public health policies.

摘要

中风作为一种神经系统疾病,在印度已成为一项严峻的健康挑战,其发病率呈上升趋势。与经济繁荣相关的风险因素增加与这种上升有关,包括高血压、糖尿病、肥胖、久坐不动的生活方式和饮酒。特别令人担忧的是对年轻人的影响,他们是印度劳动力的关键组成部分。中风包括各种临床亚型和脑血管疾病(CVD),这导致了其多方面的性质。在全球范围内,中风不断增加的负担令人担忧,影响着发展中国家。为了有效应对这一趋势并推进预防和治疗策略,迫切需要关于中风患病率和影响的全面而有力的数据。在印度,这些数据包括体重指数升高的个体以及患有高血压、糖尿病或有中风家族史的个体。中风发病率和患病率在印度各地存在差异,包括城乡差异、基于性别的差异和地区差异。需要早期检测、饮食改变、有效的风险因素管理以及公平获得中风护理来解决这个问题。政府举措,如2019年国家癌症、糖尿病、心血管疾病和中风预防与控制计划(NPCDCS),提供了指导方针,但有效实施和宣传活动至关重要。克服中风护理的障碍,尤其是在农村地区,需要改善基础设施、开展宣传活动和建立支持系统。数据标准化和全面的人群研究对于制定明智的公共卫生政策至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ab/11052531/35059bccf53e/cureus-0016-00000057058-i01.jpg

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